Regional audit on fluoroquinolones usage in the hospital and the community: Are these antibiotics over-used? | Audit régional de l’usage des fluoroquinolones à l’hôpital et en ville : y a-t-il une surconsommation de ces antibiotiques ?
2011
Leroy, J. | Patry, I. | Faure, C. | Ariskina, E. | Gaume, J.-P. | Hénon, T. | Ruyer, O. | Faller, J.-P. | Hoen, B. | Bertrand, X. | Talon, D.
AIM OF THE STUDY: The ecological impact of an over-use or a mis-use of fluoroquinolones (FQs) appears of great importance according to published data. With the objective to set up a regional antibiotic stewardship program, we conducted a regional audit on FQs usage. MATERIAL ET METHODS: Ninety general practionners and 15 health care facilities participated to this prospective study. Overall, 511 prescriptions were evaluated (276 from hospital physicians and 235 [46%] from general practionners). The compliance of FQs prescription with national recommendations and with a regional referential was assessed. This regional referential was established in order to preserve FQs. RESULTS: Only 14,3% of the prescriptions complied with the regional referential, even if the choice of FQs were in accordance with national recommendations in 56,8% of the prescriptions. Urinary tract infections (mostly non-complicated) were the most common indication for FQs prescription. CONCLUSION: Analysis of FQs prescriptions shows that there is a significant potential for FQs preservation in Franche-Comté.
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